Bella Intellectum, LLC
Technician/Technologist, Optician in Lithonia, GA. Organization (NPI-2).
NPI number1982125571
StatusActive
Last updated in NPPESOct 2, 2017
Details
- NPI
- 1982125571
- Entity type
- Organization (NPI-2)
- Legal business name
- Bella Intellectum, LLC
- Organization subpart
- No
- Enumeration date
- Jul 5, 2017
- Last updated
- Oct 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | LDO001395 | GA | Yes |
Other names
- Tots And Teens Optical (Doing Business As)
Practice location
6803 Edmonton Ct.Lithonia, GA 30058
Phone 404-618-0212
Mailing address
Po Box 1483Lithonia, GA 30058-4412
Phone 404-618-0212
Authorized official
Deborah Woods Moody
Dispensing Optician/Manager
4046180212
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